Organization Active NPI

Val-U-Vision Inc

Doing business as Val-U-Vision of Regency

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1821016569
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VAL-U-VISION INC
Doing business as
Val-U-Vision of Regency
Practice address
9400 Atlantic Blvd
Suite 62
Jacksonville, FL 32225-8255
Phone
(904) 721-7700
Fax
(904) 721-0051
NPI assigned
Jul 18, 2006
Last updated
Feb 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alan I Rauchwarger, ODNPI 1649298027
Title
Ceo/Owner
Phone
(904) 721-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9400 Atlantic Blvd
Suite 62
Jacksonville, FL 32225-8255

Mailing address

9400 Atlantic Blvd
Suite 62
Jacksonville, FL 32225-8255
Phone (904) 721-7700

Other identifiers 2

IdentifierTypeStateIssuer
620552600MedicaidFL
45648OtherFLBCBS

Other names 1

  • Val-U-Vision of Regency Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080910000174 FL Part B Supplier - Clinic/Group Practice 3779680095 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

9400 Atlantic Blvd
Ste 62
Jacksonville, FL 32225
Phone (904) 721-7700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1821016569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 ATLANTIC BLVD",
            "address_2": "SUITE 62",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258255",
            "telephone_number": "904-721-7700",
            "fax_number": "904-721-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 ATLANTIC BLVD",
            "address_2": "SUITE 62",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258255",
            "telephone_number": "904-721-7700",
            "fax_number": "904-721-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL-U-VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "RAUCHWARGER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "904-721-7700",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620552600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45648",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Val-U-Vision of Regency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.